Cognitive Rehabilitation Therapy: Practical Interventions & Personalized Planning

CPD

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Faculty

Jane Yakel, MS, CCC-SLP Related seminars and products

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Jane Yakel, M.S. CCC-SLP, is a certified and licensed (VA #2202005215) Speech- Language Pathologist with over 40 years of experience in the care of persons suffering from neuropathology disorders. Jane is currently a private contractor and consultant in Virginia and has worked in a variety of settings including acute care, outpatient clinics, home health agencies, skilled nursing homes, independent and assisted living facilities, hospitals and schools. She has taught at the University of Wyoming, Utah State University and DeVry University (Phoenix). She has been a regional clinical specialist and a national trainer for rehabilitation program directors and has served as a director of a community re-entry program for traumatic brain injury survivors. She has shared her expertise as an author and presenter at national and state board continuing education courses on various topics including, Prospective Payment System; Medicare Documentation; Ethics and Professionalism; Comprehensive Assessment of the Adult Patient; Quality Indicators: QA / QI; Customer Service; Nursing Documentation; Managing Dysphagia as well as Cognitive Communication Disorders in the Neurological Impaired; Cognitive Rehabilitation and Dementia.

Jane is the author of two comprehensive manuals and informative guides in the field of Dysphagia and Cognitive Rehabilitation. Jane’s book on Dementia: Interventions for Severe Cognitive Impairments gives detailed intervention strategies for professionals working with patients who suffer from significantly decrease cognitive status. The book is tailored for multiple disciplines within the healthcare field as well as caregivers.

Jane is a member of the American Speech-Language-Hearing Association, served as a representative for the People to People Ambassador Program for America Speech and Hearing Association and is a prior member of the Wyoming Board of Examiners for Speech-Language Pathology and Audiology. She completed her undergraduate and graduate studies at the University of Wyoming, specializing in neuropathology. Jane currently owns ProStar Communications, LLC, a professional communications company, and Yakel Educations, LLC, a professional publishing company.

 

Speaker Disclosures:

Financial: Jane Yakel is the owner of ProStar Communications, LLC and Yakel Educations, LLC. She receives a speaking honorarium from PESI, Inc.

Non-financial: Jane Yakel is a member of the American Speech-Language-Hearing Association.

Objectives

1. Compare and contrast the appropriate application of direct, indirect and patient-centered cognitive therapeutic approaches
2. Determine cutting-edge therapy interventions utilizing state-of the-art memory techniques designed to change the brain’s neuroplasticity
3. Apply “meaning” to everyday therapeutic tasks to increase patient participation, engagement and functional outcomes
4. Identify patients “Levels of Awareness” and their self-efficacy level, discussing treatment techniques that facilitate acceptance and outcomes
5. Discuss how medications can be utilized as a direct therapeutic intervention for degenerative neurological diseases
6. Explain how to document patient-centered goals, measure progress, and justify medical necessity 

Outline

CRUCIAL ELEMENTS FOR TREATING THE COGNITIVELY IMPAIRED

IDENTIFICATION AND TREATMEMT OF:

• Self-Awareness: Diagnose levels of, and treatment for patient awareness/insight and acceptance
• Self-Efficacy: Identify four major sources to increase patients self-belief
• Ownership: Interventions to increase patient participation and engagement
• Meaningful Therapy Theory: Making therapy personal!
• Patient self-rating scales

COGNITIVE THERAPEUTIC APPROACHES

• Direct therapy
• Indirect therapy
• Patient-centered

NEUROSCIENCE APPROACHES TO THE MEMORY SYSTEMS

• Declarative/Explicit/Conscious
• Non-Declarative/Implicit/Unconscious
• Work within the correct memory system for diagnoses

MEDICARE COMPLIANCE/MEDICAL NECESSITY/GOAL WRITING/DAILY DOCUMENTATION

• Components of a defensible, skilled goal
• Daily skilled terminology
• Measuring progress and justifying medical necessity

CHANGING NEUROPLASTICITY

• Direct Therapeutic Intervention for High-Level Cognitive Impairment
  • Attention Systems: Essential for learning
    • Selective Attention
    • Focused Attention
    • Sustained Attention
    • Divided Attention
    • Directed Attention
    • Shifting Attention
  • Visual Processing Systems and How to Maintain Them
    • Visual Cognition
    • Visual Memory
    • Pattern Recognition
    • Scanning
    • Visual Attention
    • Oculomotor Skills
    • Visual Fields
    • Visual Acuity
  • Information Processing Systems:
    • Relating them to function
    • Processing Speed
    • Processing Control
    • Processing Capacity
  • Memory Interventions for Neuroplasticity Changes in the Brain
    • Method of Loci
    • Visual Imagery
    • Chunking
    • Association
    • Mental Organization
    • Linking
    • Elaboration
  • Memory Interventions for Compensation Interventions
    • Acronyms, Acrostics
    • Rhymes, Rhythms, Rote
    • Rehearsal and Curve of Forgetting

DIRECT THERAPEUTIC INTERVENTIONS FOR DEGENERATIVE NEUROLOGICAL DISEASES/DEMENTIA

• Spaced Retrieval Therapy
• Errorless Learning Techniques
• Montessori-Based Therapy
• Ability-Based Approaches/Therapy
• Reminiscence Therapy
• Memory Books/Aids
• Allen Cognitive Techniques
• Medications

DIRECT THERAPEUTIC INTEVENTIONS FOR PATIENT COMMUNICATION

• Validation Therapy
• Redirecting Therapy
• Reflective Listening

INTERACTIVE CASE STUDIES

Target Audience

• Speech-Language Pathologists
• Speech-Language Pathology Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Physical Therapists
• Physical Therapist Assistants
• Nursing Home Administrators
• Activity Professionals
• Recreational Therapists
• Registered Nurses
• Rehabilitation Nurses
• Directors of Nursing
• Nurse Practitioners
• Psychologists
• Social Workers
• Case Managers